CMS Price Transparency Data

Varicella (chickenpox) vaccine

Facility: St Joseph's University Medical Center Inc

Billing Code: 90716 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90716
Insurance Median: $270
Cash Discount Price: $651
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Varicella (chickenpox) vaccine at St Joseph's University Medical Center Inc is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $651. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 703 Main St, Paterson, NJ.

Cash / Self-Pay

$651

Average discount available for prompt cash payment at this facility.

Insurance Median

$270

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$15 - $325	N/A
Multiplan	$49 - $488	N/A
Private Healthcare Systems	$49 - $423	N/A
Consumer Health Network	$56 - $586	N/A
Horizon New Jersey Health	$64 - $202	N/A
Cigna	$75 - $651	N/A
Amerihealth	$128 - $209	N/A
Wellpoint	$128	N/A
Fidelis Care of New Jersey	$130 - $191	N/A
Aetna	$134 - $274	N/A
Blue Cross Blue Shield	$139 - $568	N/A
Ambetter / Centene	$195	N/A
Magnacare	$325	N/A
Oscar	$325	N/A
Oxford	$325	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $651.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90716.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Joseph's University Medical Center Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90716.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.